Scholarship Application

Hello School of Education students,

Thank you for your interest in student scholarships. Please fill out the complete application in order to be considered for the scholarship(s) you are applying for. If you have any questions at all, please feel free to contact the Dean's Office at 618.650.3350. Good luck!

Dean's Office
School of Education

1. General Information

First Name
Middle Name
Last Name
SIUE ID

Local telephone
Email address
Permanent address: Street
City
State
Zip
Phone

High School Name
City
State

Employment company
Employment position
Length of Employment
Class status at SIUE
Major
Cumulative GPA

2. Gender M F

3. Marital Status Married Single

4. Number of children

5. Ethnic background

If you selected other, please specify

7. U.S Citizen Yes No

8. Transfer student Yes No

9. If yes, list the start date at SIUE

10. Previous degree Yes No

11. If yes, list major and name of college/university

	Major	College /University
1
2
3

12. List any honors/awards you have received while a student at SIUE

Award 1
Award 2
Award 3

13. List any volunteer, community service, extra-curricular activities, or student organization affiliations while in college?

14. List the type of position/job you anticipate after graduation

15. For what department are you seeking scholarships? ( Please select the respective button by clicking with your mouse and then
either scroll down or move your cursor to the department's name and click)

Curriculum and Instruction
Educational Leadership
Kinesiology and Health Education
Psychology
Special Education and Communication Disorders

If Curriculum & Instruction
Bessie May Briggs Mason Scholarship Endowment
	16. Are you a High School Senior Graduating from Alton High School, or a nearby school? Yes No 17. Are you pursuing an undergraduate education to become a primary or secondary education teacher? Yes No 18. Have you applied to SIUE and to FAFSA? Yes No 19. Describe your experience at high school, any personal achievements, and future goals or career plans. (no more than 250 words)
Eileen E. Brown Scholarship Endowment
	20. Are you majoring in Early Childhood Education? Yes No 21. Are you a full-time student with a GPA of at least 2.5/4.0? Yes No 22. Do you have sophomore, junior, or senior status at SIUE? Yes No 23. Describe your commitment to the major of Early Childhood Education and how your experience will impact your development as a professional (no more than 250 words)
Ruth Preston Mosser Future Educational Leaders Scholarship
	24. Are you a non traditional student working as a para professional in an early childhood settings enrolled and taking classes in the Early Childhood On-Site (ECHOS) program? Yes No 25. Describe your experiences at the SIUE School of Education (incoming freshman or transfer students list high school or community college experiences), any personal achievements, and future goals or career plans. (no more than 250 words)
School of Education Dean’s Scholarship
	26. Will you be in your internship/capstone semester during Spring, Summer or Fall of 2013? Yes No 27. Do you have at least a 3.5/4.0 GPA? Yes No 28. Describe your commitment to serving the community and how the internship/capstone experience will impact your development as a professional (no more than 250 words)
If Educational Leadership
School of Education Dean’s Scholarship
	29. Will you be in your internship/capstone semester during Spring, Summer or Fall of 2013? Yes No 30. Do you have at least a 3.5/4.0 GPA? Yes No 31. Describe your commitment to serving the community and how the internship/capstone experience will impact your development as a professional (no more than 250 words)
If Kinesiology and Health Education
School of Education Dean’s Scholarship
	32. Will you be in your internship/capstone semester during Spring, Summer or Fall of 2013? Yes No 33. Do you have at least a 3.5/4.0 GPA? Yes No 34. Describe your commitment to serving the community and how the internship/capstone experience will impact your development as a professional (no more than 250 words)
If Psychology
School of Education Dean’s Scholarship
	35. Will you be in your internship/capstone semester during Spring, Summer or Fall of 2013? Yes No 36. Do you have at least a 3.5/4.0 GPA? Yes No 37. Describe your commitment to serving the community and how the internship/capstone experience will impact your development as a professional (no more than 250 words)
If Special Education and Communication Disorders
School of Education Dean’s Scholarship
	38. Will you be in your internship/capstone semester during Spring, Summer or Fall of 2013? Yes No 39. Do you have at least a 3.5/4.0 GPA? Yes No 40. Describe your commitment to serving the community and how the internship/capstone experience will impact your development as a professional (no more than 250 words)
The Thomas Wood Mosser Memorial Scholarship
	41. Are you majoring in Special Education? Yes No 42. Do you have a GPA of at least 3.0/4.0? Yes No 43. Do you have junior or senior status? Yes No 44. Describe your experiences at the SIUE School of Education (transfer students list community college experiences), any personal achievements, and future goals or career plans. (no more than 250 words)

http://www.siue.edu/education